青年甲状腺癌的外科治疗分析

目的 探讨青年甲状腺癌患者群的构成、外科治疗方法及效果.方法 回顾性分析2002年至2009年收治的44例青年甲状腺癌和83例老年甲状腺癌的临床资料.结果 44例青年患者中,男女比为1:3.89,存在明显差异;分化型甲状腺癌约占93.18%,其中乳头状癌占86.36%.83例老年患者中,男女比为1:2.19;分化型甲状腺癌约占73.49%,其中乳头状癌占67.47%.手术方式主要采取患侧腺叶、峡部切除加对侧叶次全切除术.结论 本组甲状腺癌以分化型甲状腺癌为主;手术应根据病变性质、TNM分期及患者情况采取个体化方案,而专业化培训、细致操作、规范化手术过程可有效减少并发症的发生;规范、系统的激素治疗和必要时的131I治疗,可降低术后复发率.

Analysis on the surgicul treatment of thyroid cancer in young patients

Objective To investigate the surgical treatment and its effect on thyroid carcinoma in young patients.Methods Clinical data of 44 young patients and 83 aged patients with thyroid carcinoma in the Second Affiliated Hospital of Dalian Medical University undergoing surgical treatment from 2002 to 2009 were analyzed entiated thyroid carcinoma accounted for 93.18%,among which 86.36%was papillary carcinoma.Male female 73.49%,among which 67.47%was papillary carcinoma.Conclusions Differentiated thyroid carcinoma makes the maximum propo~ion in this group of patients with thyroid cancer.Individualized solutions should be taken according to lesion pathology,TNM stages,location,size and physical conditions of the patient.Specialized training,meticulous operating,and proper surgery procedure can reduce complications.Systemic hormone therapy and 131I treatment can decrease postoperative recurrence rate.